Testing a conceptual model of oral health: a structural equation modeling approach
Testing a conceptual model of oral health: a structural equation modeling approach
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DOI：
10.1177/154405910708600804
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发表时间：
2007-08-01
影响因子：
7.6
通讯作者：
Baker, S. R.
中科院分区：
文献类型：
--
作者：
Baker, S. R.
Locker(1988)的口腔健康多维模型为理解口腔疾病及其后果提供了科学模型。到目前为止，还没有研究明确地用经验证据来检验该模型。这项研究的目的是：首先，使用英国成人牙齿健康调查(N=5268)的数据在普通人群样本中测试该模型；其次，在两个不同和不同的样本--无牙老年人(N=133)和口干症患者的临床样本(N=85)--中交叉验证这些结果。结构方程建模表明，对每个样本应用的模型都得到了支持。除了几个关键变量之间的间接或中介途径外，该模型假设的所有直接途径都是显著的。对该模型的进一步概念发展进行了讨论，特别是个体差异因素的作用，并强调了口腔健康相关生活质量研究中的理论和方法问题。缩写：口腔健康生活质量(OHQOL)；结构方程模型(SEM)；成人牙齿健康调查(ADH调查)；口腔健康影响概况-简表(OHIP14)。
Locker's (1988) multidimensional model of oral health provides a scientific model for the understanding of oral disease and its consequences. To date, there have been no studies that have explicitly tested the model with empirical evidence. This study aimed to: first, test the model in a general population sample using data from the UK adult dental health survey (N = 5268); and, second, to cross-validate these results in two different and diverse samples-edentulous elders (N = 133) and a clinical sample of xerostomia patients (N = 85). Structural equation modeling indicated support for the model as applied to each of the samples. All of the direct pathways hypothesized by the model were significant, in addition to several indirect or mediated pathways between key variables. Further conceptual development of the model is discussed, particularly the role of individual difference factors, and theoretical and methodological issues in oral-health-related quality-of-life research are highlighted. Abbreviations: oral health quality of life (OHQoL); structural equation modeling (SEM); Adult Dental Health Survey (ADH survey); Oral health Impact Profile-short form (OHIP14).